Individual
KELSEY ANN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
905 ARROWHEAD TRL, WARNER ROBINS, GA 31088-5390
(478) 333-6363
Mailing address
131 WINDBORNE CT, KATHLEEN, GA 31047-2788
(630) 917-1017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008062
GA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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